Church Membership Form
Southminster Presbyterian Church (USA)
Name
First Name
Last Name
Gender
Male
Female
Transgender
Non-binary/non-conforming
Prefer not to respond
Other
Date of Birth
-
Month
-
Day
Year
Date
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How will you be joining the Southminster community?
Transfer of membership from another congregation.
Baptism and/or Confirmation
Reaffirmation of Faith
I will be an Associate Member
Other
Name and location of Church where you were Baptized and/or confirmed (if applicable).
If you are ordained in the PCUSA as a deacon or elder, please share the Church and date of your ordination.
Name of Spouse
First Name
Last Name
Name(s) of Children
What are some of your talents and/or giftings?
What gives you the most joy, and how do you see it relate to your ministry with the Church?
Could you share with us briefly about your journey of faith and why you fell called to be part of this Christian community?
Submit
Should be Empty: